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NCLEX-RN 2023
Delegation - ~ANSWER Right Person, Right Task, Right Circumstance, Right Communication, Right Supervision
AP's: vitals and ALDs
PN: stable clients and the expected outcome
Bleeding - ~ANSWER Stabilize object Colorectal Screening - ~ANSWER Sigmoid: 5 yrs Colon: 10 years ages 50-75 1 / 4
Manual BP - ~ANSWER 1 Inch above antecubital space Manual Systolic Measurement - ~ANSWER Palpate radial pulse, inflate until pulse disappears, inflate another 30 mmHg, release and note when pulse is palpable again Clear Diet - ~ANSWER Fruit juices, gelatin, broth Cane Use - ~ANSWER On Stronger side. Move can, move weak leg, move stronger leg past cane Move 6-10 inches forward 2 / 4
Infiltration - ~ANSWER pallor, swelling, decrease skin temp stop, remove, elevate, ROM, cold compress, restart hypoxemia - ~ANSWER early: Tachypnea, increased BP
Late: Bradypnea, decrease BP
Hypernatermia Risk Factors - ~ANSWER older age, decrease total body water content, inadequate fluid intake, altered thirst Seizure precautions - ~ANSWER Rescue equipment at bedside 3 / 4
Fire Safety - ~ANSWER R: Rescue A: Alarm C: contain E: extinguish P: Pull A: Aim S: Squeeze S: Sweep Radiation Precautions - ~ANSWER wear monitoring badge for exposure Client Transfer - ~ANSWER Fold arms of patient across chest while lifting head Positioning - ~ANSWER Prone: on stomach, post lumbar puncture, tonsillectomy
Supine: On back, spinal cord injury
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